CPT 0875T
Other Organ Systems
Current code19 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $71.41 – $193 | — | — |
| Deaconess Medical Center | $68.72 – $117 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $70.29 – $117 | — | — |
| Legacy Salmon Creek Medical Center | $83.18 | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | $71.61 – $179 | — | — |
| MultiCare Covington Medical Center | $71.61 – $179 | — | — |
| MultiCare Good Samaritan Hospital | $71.97 – $179 | — | — |
| MultiCare Valley Hospital | $68.72 – $117 | — | — |
| Olympic Medical Center | — | — | — |
| Providence Centralia Hospital | $73.04 – $162 | — | — |
| Providence Regional Medical Center Everett | $51.00 – $132 | — | — |
| Providence St Mary Medical Center | $66.54 – $122 | — | — |
| Swedish Issaquah | $65.01 – $184 | — | — |
| Swedish Medical Center / Cherry Hill | $64.83 – $183 | — | — |
| Tacoma General Allenmore Hospital | $71.97 – $179 | — | — |
| Wellfound Behavioral Health Hospital | $110 | — | — |
| Yakima Valley Memorial | $69.84 – $74.64 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $38.13 (APC 5741)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 0875T:
- 875T (leading zeros left off; 38 price lines)